<table width="100%" height="100%" border="0" cellpadding="0" cellspacing="0"><tr valign="middle">
  <td align="center">

<table width="382" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td colspan="4"><input type="hidden" id="hd_idproccoac" value=""><input type="hidden" id="hd_nroexpedinotif" value=""></td>
    </tr>
    <tr>
    <td colspan="4"><div id="div_mensaje" align="center"></div></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td>Nro Expedi.:</td>
      <td id="c_nroexpedinotif"></td>
      <td>&nbsp;</td>
    </tr>
    <tr>
    <td>&nbsp;</td>
    <td>Nro. Notif. :</td>
    <td id="c_cvisita"></td>
    <td>&nbsp;</td>
  </tr>
    <tr>
      <td colspan="4" height="8px"></td>
    </tr>
    <tr >
      <td>&nbsp;</td>
      <td>Fecha y Hora:</td>
      <td nowrap="nowrap"><input type="text" id="t_fechanotif" value=""  style="width:85px"/>&nbsp;&nbsp;
        <input type="text" id="t_hora" value="" style="width:50px"/>
  &nbsp;&nbsp;:&nbsp;&nbsp;
  <input type="text" id="t_minuto" value="" style="width:50px"/></td>
      <td>&nbsp;</td>
    </tr>
   <tr>
    <td colspan="4" height="8px"></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td>Recepcionado por:</td>
    <td valign="middle"><input type="text" id="t_recepcionado" value=""  style="width:100%" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>DNI Receptor:</td>
    <td valign="middle"><input type="text" id="t_dni" value="" maxlength="8"  style="width:85px"/></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td id="lb_parentesco">Parentesco:</td>
    <td valign="middle"><select name="cb_parentesco" id="cb_parentesco" style="width:100%">
    </select></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td colspan="4" height="8px"></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td id="lb_estado">Estado:</td>
    <td valign="middle"><select name="cb_estado" id="cb_estado" style="width:100%">
    </select></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td colspan="4" height="8px"></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td id ="lb_tipinmueble">Tipo Inmueble:</td>
    <td valign="middle"><select id="cb_tipoinmueble" style="width:100%">
    </select></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>Nro. Pisos :</td>
    <td valign="middle"><input type="text" id="t_nropisos" value="" style="width:85px"></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>Color Fachada:</td>
    <td valign="middle"><input type="text" id="t_colorfachada" value=""  style="width:85px" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>Tel&eacute;fono :</td>
    <td valign="middle"><input type="text" id="t_telefono" value=""  style="width:85px" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td width="24">&nbsp;</td>
    <td width="114">Nro.Sumin. Elec. :</td>
    <td width="220" valign="middle"><input type="text" id="t_nrosuminielec" value=""  style="width:85px" /></td>
    <td width="24">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="4" height="8px"></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td valign="top">Testigo 1 :</td>
      <td valign="top"><input type="text" id="t_testigo1" value=""  style="width:100%" /></td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td valign="top">DNI: </td>
      <td valign="top"><input type="text" id="t_dnitestigo1" value="" maxlength="8" style="width:85px"/></td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td colspan="4" height="8px"></td>
      </tr>
    <tr>
      <td>&nbsp;</td>
      <td valign="top">Testigo 2:</td>
      <td valign="top"><input type="text" id="t_testigo2" value=""  style="width:100%" /></td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td valign="top">Dni:</td>
      <td valign="top"><input type="text" id="t_dnitestigo2" value="" maxlength="8" style="width:85px"/></td>
      <td>&nbsp;</td>
    </tr>
  <tr>
   <td colspan="4" height="8px"></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td>Notificador:</td>
    <td><input type="text" id="t_notificador" value=""  style="width:100%" /></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td width="24">&nbsp;</td>
    <td width="104">DNI Notificador: </td>
    <td width="230"><input type="text" id="t_dninotificador" value="" maxlength="8"  style="width:85px"/></td>
    <td width="24">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="4" height="8px"></td>
    </tr>
    
  <tr>
    <td colspan="4" align="center"><button id="btnaceptar">&nbsp;&nbsp;Aceptar&nbsp;&nbsp;</button>&nbsp;&nbsp;&nbsp;<button id="btn_cancelar">&nbsp;&nbsp;Regresar&nbsp;&nbsp;</button></td>
  </tr>
  <tr>
    <td colspan="4">&nbsp;</td>
    </tr>
</table>
</td></tr></table>